Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEANNE FOMA NP-FAMILY
NPI 1417366063
Nurse Practitioner - Family in Hannibal, MO

Active since August 07, 2014PECOS EnrolledAccepts Medicare Assignment
154 FORREST DR, HANNIBAL, MO 63401(301) 455-0939 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jeanne Foma Np-family NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNE FOMA NP-FAMILY (NPI 1417366063) is an individual family provider in Hannibal, Missouri, licensed in Missouri (2017036737) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417366063
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEANNE FOMACredential: NP-FAMILY
Location Address154 FORREST DRHannibal, MO 63401-5511
Mailing Address154 Forrest DrHannibal, MO 63401-5511 · (301) 455-0939
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 7, 2014
Last NPPES UpdateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1417366063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MO · 2017036737✔ Licensed in MD · R194210
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License ARNP.AP.70150368 (WA)
154 FORREST DR, Hannibal, MO 63401

Other Names 1

Former Name (1)Jeanne Mafokou

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeanne Foma Np-family is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850512898
PECOS Enrollment IDI20180122000079
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jeanne Foma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
6000 HOSPITAL DR
Hannibal, MO 63401
  • Reassigned Medicare billing, Missouri enrollment
  • 192 clinicians in this Medicare group
Community/Behavioral Health
154 FORREST DR
Hannibal, MO 63401
  • Reassigned Medicare billing, Missouri enrollment
  • 47 clinicians in this Medicare group
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, District of Columbia enrollment
  • 168 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
154 FORREST DR
HANNIBAL, MO 63401
Counselor (Professional)
154 FORREST DR
HANNIBAL, MO 63401
Counselor (Professional)
154 FORREST DR
HANNIBAL, MO 63401
Case Management
154 FORREST DR
HANNIBAL, MO 63401
Counselor (Professional)
154 FORREST DR
HANNIBAL, MO 63401
Community/Behavioral Health
154 FORREST DR
HANNIBAL, MO 63401
Social Worker (Clinical)
154 FORREST DR
HANNIBAL, MO 63401
Counselor (Professional)
154 FORREST DR
HANNIBAL, MO 63401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanne Foma's NPI number?

The NPI number for Jeanne Foma is 1417366063. It was assigned to this individual provider in the NPPES registry on August 7, 2014. The provider is also known as Jeanne Mafokou.

Where is Jeanne Foma located?

Jeanne Foma practices at 154 Forrest Dr, Hannibal, MO 63401. The listed phone number is (301) 455-0939.

What is Jeanne Foma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeanne Foma enrolled in Medicare?

Yes. Jeanne Foma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeanne Foma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Foma reassigns Medicare benefits to 3 organizations: Blessing Hospital (Hannibal, MO), Mark Twain Association For Mental Health, Inc. (Hannibal, MO) and Minuteclinic LLC (Rockville, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanne Foma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeanne Foma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Jeanne Foma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeanne Foma affiliated with any hospitals?

According to CMS data, Jeanne Foma is affiliated with Blessing Hospital and Hannibal Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jeanne Foma was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.